Organization
2047 W KEIM MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GUARJDO (MANAGER)
(480) 384-0789
Entity
Organization
Contact information
Practice address
2047 W KEIM DR, PHOENIX, AZ 85015-1527
(602) 888-6779
(602) 429-8149
Mailing address
14362 N FRANK LLOYD WRIGHT BLVD STE 1000, SCOTTSDALE, AZ 85260-8847
(602) 888-6779
(602) 429-8149
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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